JERROLD W MELVIN Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005248

License Status

INACTIVE

Business

First Name

JERROLD W

Last Name

MELVIN

Business Name

JERROLD W MELVIN

Original Issue Date

02/22/1997

Effective Date

01/02/2002

Expiration Date

11/30/2001

City

VINCENNES

State

Zip

47591

County

INDIANA

Ever Disciplined

LastModifiedDate

10/11/2005